scholarly journals Die uitdagings verbonde aan die lewering van primêre gesondheidsorgdienste in artikel 30-gebiede

Curationis ◽  
1981 ◽  
Vol 4 (3) ◽  
Author(s):  
Delene Mcnulty
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Services ◽  
Health Care Services ◽  
Epidemiological Data ◽  
Supportive Services ◽  
Care Services ◽  
Primary Health ◽  
Comprehensive Primary Health Care ◽  
Primary Health Care Services

Article 30 areas are those in which the Department of Health, Welfare and Pensions act as the local authority in terms of health services. The Department has been developing comprehensive primary health care services, provided by registered nurses, in these areas since 1975. These services are challenged by complex problems and methods for primary health care used successfully in other areas are inappropriate. As those served are mostly immigrant farm labourers, village workers cannot be used. A lack of demographic and epidemiological data complicates the setting of objectives and thus planning of services. There are few clinic services and supportive services and sources for referral are inadequate or non-existent. The nurse mostly provides the service from a car at suitable central points. Sophisticated technology cannot be used and equipment, techniques and procedures must be carefully selected or even improvised. The success of the service depends on the nurses’ ability to gain the co-operation and acceptance of the farmer who is the employer; doctors and pharmacists; school principals; magistrates; the nearest hospitals which may be in another country; and of the target group comprising the workers and their families. In this time of fragmentation and specialised care in health services the nurses providing the section 30 services must be able to meet all promotive, preventive, curative and rehabilitative health needs — she is expected to be a model of versatility.

scholarly journals Health Literacy and The Use of Primary Health Care Services of Inpatients with Musculoskeletal Complaints

2020 ◽  
Vol 9 (3) ◽  
pp. 131-138
Author(s):  
Sebahat Gücük ◽  
Erdal Dilekçi ◽  
Mehmet Kayhan
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Literacy ◽  
Health Services ◽  
Health Care Services ◽  
Contact Point ◽  
Screening Programs ◽  
Care Services ◽  
Primary Health ◽  
Primary Health Care Services

Aim: Our study aimed to determine the relationship between health literacy and the use of primary health care services in our patient group, where the demand for health services is quite frequent due to their complaints. Methods: This cross-sectional study was carried out with 725 patients with various diagnoses of musculoskeletal disorders hospitalizing to whom physical therapy and/or rehabilitation was applied. The volunteer participants filled out a sociodemographic questionnaire which consisted of 26 questions and Adult Health Literacy Scale using face-to-face interview method. Results: The mean total score of health literacy of the participants was identified as 12.02±3.77. In terms of those who previously took medical home service before for any reason, who received counseling by the midwife, and who have consulted their family physician about their current complaints, health literacy score was found to be significantly higher than the others. Conclusion: In order to increase the level of health literacy, which is an integral part of preventive health services especially in primary health care which is the first medical contact point, training programs should be planned according to the level of people’s need and understanding in every opportunity like seeing the patient in polyclinic or giving mobile care or during health screening programs. Keywords: health literacy, health education, national health policy

scholarly journals The Perception of South African Adolescents Regarding Primary Health Care Services

2006 ◽  
Vol 6 ◽  
pp. 737-744 ◽  
Author(s):  
Magdalena S. Richter ◽  
Vivian Mfolo
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Services ◽  
South African ◽  
Health Care Services ◽  
Care Service ◽  
Health Care Service ◽  
Care Services ◽  
Primary Health ◽  
Primary Health Care Services

Most of the South African public health facilities fail to provide adolescent-friendly health services. A quantitative, descriptive research study was conducted at Stinkwater, a rural area in Hammanskraal, South Africa. The objective of the study was to describe the adolescent's preferences regarding primary health care services. A survey was conducted among 119 adolescents. It was found that adolescents wished to be involved in the planning of the activities of the adolescent health service, and that friendliness and respect for adolescents were seen as desirable characteristics of an adolescent-friendly health care service. Adolescents preferred services to be available throughout the week and to be located at the school, youth center, community center, hospital, or clinic. Health education was indicated as a priority and the health care team should include different members of a multidisciplinary team. Adolescents preferred that their health services be separated from adult services and that a male nurse be employed in the adolescent service in order to create a less feminine image. It was also recommended that all adolescents be educated about the types of services available. Understanding health care service preferences of adolescents is needed in order to deliver optimal health care to this group.

scholarly journals Acesso dos homens aos serviços de atenção primária à saúde

2018 ◽  
Vol 12 (11) ◽  
pp. 2897 ◽  
Author(s):  
Yuri Oliveira Barbosa ◽  
Leonardo Philipe Lima Menezes ◽  
Allan Dantas Santos ◽  
Jéssica Oliveira Cunha ◽  
Jose Marcos De Jesus Santos ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Services ◽  
Health Care Services ◽  
Access To Health Services ◽  
Cross Sectional ◽  
Adult Men ◽  
Care Services ◽  
Primary Health ◽  
Primary Health Care Services

RESUMOObjetivo: analisar os aspectos gerais do acesso dos homens adultos aos serviços de atenção primária à saúde. Método: trata-se de estudo quantitativo, exploratório e transversal, com 485 homens adultos, por meio de questionário, dados armazenados no software SPSS 20.0, submetidos à estatística descritiva e apresentados em tabelas com distribuição de frequências absoluta e relativa. Resultados: 32,6% visitam os serviços de atenção primária à saúde com regularidade. A demora para ser atendido (35,7%) e a ausência de doenças (33,8%) são os principais fatores impeditivos da acessibilidade masculina aos serviços de saúde; 39,4% desconhecem os dias de funcionamento da unidade; 75% consideram ser difícil agendar consultas e 21% desconhecem a política nacional dos homens. Conclusão: a maioria dos homens adultos não buscou com regularidade os serviços de Atenção Primária à Saúde. Ressaltou-se a importância do conhecimento das razões masculinas para não buscarem os serviços da atenção primária à saúde. Este estudo pode contribuir aos gestores a compreenderem essa realidade singular masculina no planejamento de ações visando à garantia da assistência à saúde mais resolutiva. Descritores: Saúde do Homem; Acesso aos Serviços de Saúde; Atenção Primária à Saúde; Saúde Pública; Assistência à Saúde; Enfermagem.ABSTRACT Objective: to analyze the general aspects of adult men's access to primary health care services. Method: this is a quantitative, exploratory and cross-sectional study with 485 adult men, using a questionnaire, data stored in SPSS 20.0 software, submitted to descriptive statistics and presented in tables with absolute and relative frequency distribution. Results: 32.6% visit regular primary health care services. The delay to be treated (35.7%) and the absence of diseases (33.8%) are the main impediments to male accessibility to health services; 39.4% are unaware of the unit's operating days; 75% consider it difficult to schedule consultations and 21% are unaware of the national men's policy. Conclusion: the majority of adult men did not seek regular Primary Health Care services. The importance of knowing the reasons for not seeking primary health care was emphasized. This study can contribute to the managers to understand this singular masculine reality in the planning of actions aiming to guarantee the health care more resolute. Descritores:  Human Health; Access to Health Services; Primary Health Care; Public Health; Health Care; Nursing.                                                                                                    RESUMEN Objetivo: analizar los aspectos generales del acceso de los hombres adultos a los servicios de atención primaria a la salud. Método: se trata de un estudio cuantitativo, exploratorio y transversal, con 485 hombres adultos, mediante cuestionario, datos almacenados en el software SPSS 20.0, sometidos a la estadística descriptiva y presentados en tablas con distribución de frecuencias absoluta y relativa. Resultados: el 32,6% visitan los servicios de atención primaria a la salud con regularidad. La demora para ser atendida (35,7%) y la ausencia de enfermedades (33,8%) son los principales factores impeditivos de la accesibilidad masculina a los servicios de salud; 39,4% desconocen los días de funcionamiento de la unidad; El 75% considera que es difícil programar consultas y el 21% desconocen la política nacional de los hombres. Conclusión: la mayoría de los hombres adultos no buscó con regularidad los servicios de Atención Primaria a la Salud. Se resaltó la importancia del conocimiento de las razones masculinas para no buscar los servicios de atención primaria a la salud. Este estudio puede contribuir a los gestores a comprender esta realidad singular masculina en la planificación de acciones para la garantía de la asistencia sanitaria más resolutiva. Descritores: Salud del Hombre; Acceso a los Servicios de Salud; Atención Primaria a la Salud; Salud Pública; Asistencia Sanitária; Enfermería.

scholarly journals Avaliação dos serviços de atenção primária à saúde na tuberculose

2019 ◽  
Vol 13 ◽  
Author(s):  
Tatiana Castro da Costa ◽  
Felipe Lima dos Santos ◽  
Alexandre Tadashi Inomata Bruce ◽  
Jaqueline Garcia de Almeida Ballestero ◽  
Mônica Cristina Ribeiro Alexandre d’Auria de Lima ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Services ◽  
Health Care Services ◽  
Web Of Science ◽  
Care Services ◽  
Primary Health ◽  
Concept Of Health ◽  
Primary Health Care Services ◽  
The Family

RESUMOObjetivo: analisar produções científicas sobre a avaliação dos serviços da Atenção Primária à Saúde no controle da tuberculose. Método: trata-se de estudo bibliográfico, tipo revisão integrativa, que incluiu artigos completos disponibilizados nas Bases de Dados LILACS, CINAHL, SCOPUS, Web of Science e MEDLINE,  publicados no Brasil entre janeiro de 2013 a setembro de 2017. Apresentaram-se os resultados em forma de figuras. Resultados: selecionaram-se e classificaram-se 12 artigos em duas categorias temáticas: “Avaliação dos serviços na perspectiva dos profissionais de saúde” e “Avaliação dos serviços na perspectiva dos usuários”. Conclusão: ratificam-se, pela síntese dos estudos, as fragilidades, sugerindo a formação complementar aos profissionais, além do resgate do conceito expandido de saúde, principalmente, com relação à família e à comunidade, contribuindo para o embasamento de condutas de gestão para a melhoria das intervenções em saúde. Descritores: Atenção Primária à Saúde; Tuberculose; Pesquisa sobre Serviços de Saúde; Enfermagem; Brasil; Serviços Básicos de Saúde. ABSTRACT Objective: to analyze scientific production on the evaluation of Primary Health Care services in the control of tuberculosis. Method: this is a bibliographical study, including an integrative review, which included complete articles available in the LILACS, CINAHL, SCOPUS, Web of Science and MEDLINE databases, "published in Brazil between January 2013 and September 2017. The results were presented in the form of figures. Results: 12 articles were selected and classified in two thematic categories: "Evaluation of services from the perspective of health professionals" and "Evaluation of services from the perspective of users". Conclusion: the synthesis of the studies confirms the weaknesses, suggesting the complementary training to the professionals, besides the rescue of the expanded concept of health, mainly, in relation to the family and the community, contributing to the base of management conduits for the improvement of health interventions. Descriptors: Primary health care; Tuberculosis; Research on Health Services; Nursing; Brazil; Basic Health Services. RESUMEN Objetivo: analizar producciones científicas sobre la evaluación de los servicios de la   Atención Primaria a la Salud en el control de la tuberculosis. Método: se trata de un estudio bibliográfico, tipo revisión integrativa, que incluyó artículos completos disponibles en las Bases de Datos LILACS, CINAHL, SCOPUS, Web of Science y MEDLINE, publicados en Brasil entre enero de 2013 a septiembre de 2017. Se presentaron los resultados en forma de figuras. Resultados: se seleccionaron y se clasificaron 12 artículos en dos categorías temáticas: "Evaluación de los servicios en la perspectiva de los profesionales de salud" y "Evaluación de los servicios en la perspectiva de los usuarios". Conclusión: se ratifican, por la síntesis de los estudios, las fragilidades, sugiriendo la formación complementaria a los profesionales, además del rescate del concepto ampliado de salud, principalmente, con relación a la familia y a la comunidad, contribuyendo para el basamento de conductas de gestión para la mejora de las intervenciones en salud. Descritores: Atención Primaria a la Salud; Tuberculosis; Investigación sobre Servicios de Salud; Enfermeira; Brasil; Servicios Básicos de Salud.

scholarly journals Portugal's primary health care human resources assessment

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
J Oliveira Miranda ◽  
P Santos Luis ◽  
M Sarmento
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Family Medicine ◽  
Human Resources ◽  
Health Professional ◽  
Health Care Services ◽  
Care Services ◽  
Primary Health ◽  
Primary Health Care Services ◽  
The Mean

Abstract Background Primary health care services are the cornerstone of all health systems. Having clear data on allocated human resources is essential for planning. This work intended to map and compare the primary health care human resources of the five administrative regions (ARS) of the Portuguese public health system, so that better human resources management can be implemented. Methods The chosen design was a descriptive cross sectional study. Each of the five ARS were divided into primary health care clusters, which included several primary health care units. All of these units periodically sign a “commitment letter”, where they stand their service commitments to the covered population. This includes allocated health professionals (doctors, nurses), and the information is publicly accessible at www.bicsp.min-saude.pt. Data was collected for 2017, the year for which more commitment letters were available. Several ratios were calculated: patients/health professional; patients/doctor (family medicine specialists and residents); patients/nurse and patients/family medicine specialist. Mean, standard deviation, minimum and maximum values were calculated. Results National patients/health professional ratio was 702 with the mean of the 5 ARS calculated at 674+-7.15% (min 619, max 734) whilst the national patients/doctor ratio was 1247 with the mean of the 5 ARS calculated at 1217+-7.17% (min 1074, max 1290). National patients/nurse ratio was 1607 with the mean of the 5 ARS calculated at 1529+-13.08% (min 1199, max 1701). Finally, national patients/family medicine specialist ratio was 1711 with the mean of the 5 ARS calculated at 1650+-6,36% (min 1551, max 1795). Conclusions Human resources were differently spread across Portugal, with variations between the five ARS in all ratios. The largest differences occur between nursing staff, and may translate into inequities of access, with impact on health results. A more homogeneous human resources allocation should be implemented. Key messages Human resources in the Portuguese primary health care services are not homogeneously allocated. A better and more homogeneous allocation of human resources should be implemented to reduce access health inequities.

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